Purtscher-like retinopathy associated with dermatomyositis

Yan Yan,Xi Shen

doi:10.1186/1471-2415-13-36

Yan Yan, Xi Shen

Open Access

https://doi.org/10.1186/1471-2415-13-36

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Journal: BMC ophthalmology	Publication Date: Jul 24, 2013
Citations: 27	License type: CC BY 2.0

Affiliation: Ruijin Hospital, Shanghai Jiao Tong University

Abstract

BackgroundTo report a rare case of bilateral Purtscher-like retinopathy in a Chinese female patient with dermatomyositis.Case presentationAn 18-year-old woman with lower extremity muscle weakness was admitted due to decreased vision of both eyes for two weeks. Ophthalmic examination revealed violaceous eruption on eyelids with swelling. Ocular fundus examination revealed multiple cotton wool spots and Purtscher flecken, and intra-retinal haemorrhages with pseudo-cherry red spot. The erythrocyte sedimentation rate, C-reactive protein, lactate dehydrogenase and creatine kinase was measured and found to be increased. A diagnosis of Purtscher-like retinopathy associated with dermatomyositis was made and the patient was treated with corticosteroids.ConclusionAlthough dermatomyositis is a rare cause of Purtscher-like retinopathy, it is important to keep in mind that systemic associations such as dermatomyositis should be ruled out in such patients.

Highlights

To report a rare case of bilateral Purtscher-like retinopathy in a Chinese female patient with dermatomyositis.Case presentation: An 18-year-old woman with lower extremity muscle weakness was admitted due to decreased vision of both eyes for two weeks
Conclusion: dermatomyositis is a rare cause of Purtscher-like retinopathy, it is important to keep in mind that systemic associations such as dermatomyositis should be ruled out in such patients
We report a rare case of bilateral Purtscher-like retinopathy in a Chinese female patient with dermatomyositis

Summary

Introduction

To report a rare case of bilateral Purtscher-like retinopathy in a Chinese female patient with dermatomyositis.Case presentation: An 18-year-old woman with lower extremity muscle weakness was admitted due to decreased vision of both eyes for two weeks. Conclusion: dermatomyositis is a rare cause of Purtscher-like retinopathy, it is important to keep in mind that systemic associations such as dermatomyositis should be ruled out in such patients. Retinopathy associated with dermatomyositis is rare and was first described by Bruce in 1938 [2]. Purtscher-like retinopathy is seen in patients with several kinds of connective tissue disorders, systemic lupus erythematosis [4].

Results

Conclusion